Ingabe udokotela wakho ukutshelile ukuthi umfutho wegazi lakho uphezulu kancane, ushukela wakho wegazi uqala ukukhuphuka, i-cholesterol yakho iyakhuphuka, njll.? Mhlawumbe usukhuluphele esiswini sakho. Nakuba lezi zinto zingase zibonakale njengezinkinga zempilo ezivamile uma zithathwa ngazinye, lapho eziningana zazo zihlangana, zingaba uphawu lwesixwayiso sesimo esibucayi kakhulu. Yilokho esikubiza ngokuthi i-Metabolic Syndrome .
Kalula nje, iyini i-Metabolic Syndrome?
I-Metabolic Syndrome akuyona isifo esisodwa. Iqoqo lezinto eziningana ezihlobene nobungozi empilweni. Uma lezi zimo zihlangana, zandisa kakhulu ingozi yakho yokuthola isifo senhliziyo, isifo sohlangothi, kanye nesifo sikashukela sohlobo 2 esikhathini esizayo. Iyaziwa nangamanye amagama, njenge-`(Syndrome X)` noma `(Insulin resistance syndrome)`.
Cabanga ngale ndlela, ingozi inkulu lapho izitha ezintathu noma ezine zihlasela ngesikhathi esisodwa kunalapho zilwa nesitha esisodwa. Kunjalo-ke ngalokhu. Ngayinye yalezi zinto iyingozi ngokwayo. Kodwa lapho ezintathu noma ngaphezulu zazo zihlangana, ingozi iyanda kakhulu.
Wazi kanjani ukuthi une-Metabolic Syndrome?
Ukuze kutholakale ukuthi une-Metabolic Syndrome, okungenani izinto ezintathu kwezinhlanu ezilandelayo kumele zibe khona. Lokhu kufana nohlu lokuhlola. Ake sibone ukuthi ziyini.
| Isici Sengozi | Ukulinganisa |
|---|---|
| Isisindo esiningi esiswini | Ububanzi besinqe: Kumadoda amasentimitha angaphezu kwangu-40, kwabesifazane amasentimitha angaphezu kwangu-35. |
| Ama-triglyceride aphezulu | Amazinga e-triglyceride egazini angama-150 mg/dL noma ngaphezulu. |
| I-cholesterol ephansi ye-HDL (i-cholesterol enhle) | Izinga le-HDL (i-cholesterol enhle): Ngaphansi kuka-40 mg/dL kwabesilisa, ngaphansi kuka-50 mg/dL kwabesifazane. |
| Ushukela wegazi ophakeme | Izinga likashukela egazini lokuzila ukudla elingu-100 mg/dL noma ngaphezulu (100-125 libonisa isimo se-prediabetes, kanti 125 noma ngaphezulu libonisa isifo sikashukela). |
| Umfutho wegazi ophakeme | Umfutho wegazi ongu-130/85 mmHg noma ngaphezulu (umfutho we-systolic ongu-130 noma ngaphezulu kanye/noma umfutho we-diastolic ongu-85 noma ngaphezulu). |
Into ebalulekile ukuthi, lokhu akuyona into ongazinqumela yona. Udokotela wakho nguyena ozokwenza lezi zivivinyo futhi akutshele ngqo ukuthi unalesi simo noma cha.
Ziyini izimpawu zalesi simo?
Inkinga enkulu lapha ukuthi izinto eziningi ezihlotshaniswa ne-Metabolic Syndrome (njengomfutho wegazi ophezulu kanye ne-cholesterol) azinazo izimpawu zangaphandle . Yingakho abantu abaningi bengazi ukuthi basengozini.
Kodwa-ke, uma amazinga kashukela egazini eba phezulu kakhulu, kungase kuvele ezinye izimpawu. Lezi zimpawu zifaka:
- Ubumnyama besikhumba emakhwapheni, ngemuva kwentamo, nasemaceleni (i-Acanthosis nigricans).
- Umbono ofiphele.
- Ukoma okwandayo.
- Ukudinga njalo ukuchama, ikakhulukazi ebusuku.
- Ukukhathala ngokweqile emzimbeni.
Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela bese uthola iseluleko.
Kungani sihlakulela i-Metabolic Syndrome? Iyini imbangela eyinhloko?
Kunezizathu eziningi zalokhu, kodwa abacwaningi bakholelwa ukuthi imbangela eyinhloko yisimo esibizwa ngokuthi ukumelana ne-insulin .
Ngakho-ke, kuyini lokhu ukumelana ne-insulin?
Masiqonde kalula. Ushukela (i-glucose) ekudleni esikudlayo kudingeka ungene emangqamuzaneni emizimba yethu njengamandla. Isihluthulelo esivula iminyango yala maseli yi-hormone ebizwa ngokuthi i-insulin . Lokhu kukhiqizwa yi-pancreas yethu.
Ukumelana ne-insulin kusho ukuthi amaseli emzimbeni wakho awasabeli kahle kulesi sihluthulelo esibizwa nge-insulin. Kufana nokuba nesihluthulelo kodwa ungakwazi ukuvula umnyango. Khona-ke ushukela osegazini awukwazi ukungena emaselini bese unqwabelana egazini.
Ukuze kulungiswe lokhu, ama-pancreas akho aqala ukukhiqiza i-insulin eningi. Kodwa ngokuhamba kwesikhathi, ngisho nalokho kuyaba okwanele. Yilapho amazinga kashukela egazini enyuka khona, okuholela ezimweni ezifana nesifo sikashukela.
Izici ezilandelayo zinegalelo ekumelaneni ne-insulin:
- Ukukhuluphala: Amafutha, ikakhulukazi azungeze isisu, akhiqiza amakhemikhali aphazamisa ukusebenza kwe-insulin.
- Ukuntuleka kokuzilolonga: Uma sizilolonga, imisipha yethu isebenzisa ushukela. Uma singazilolonga, amangqamuzana ethu awabe esazwela kakhulu kwi-insulin.
- Eminye imithi: Amanye ama-steroid (ama-corticosteroids), eminye imithi yokucindezeleka kwegazi, kanye neminye imithi yokugula ngengqondo kungabangela lokhu.
- Ithonya lezakhi zofuzo: Izakhi zofuzo ezidluliselwa ezizukulwaneni ngezizukulwane nazo zinethonya elithile kulokhu.
Ingabe lesi simo singalawulwa futhi selapheke?
Yebo! Ungakwenza nakanjani. Lezi yizindaba ezinhle kakhulu. I-Metabolic Syndrome akuyona into engenakuguqulwa. Kunezinto ezimbili eziyinhloko ezingenziwa: ukushintsha indlela yokuphila kanye nokwelashwa uma kudingeka.
1. Izinguquko Zendlela Yokuphila - Lena yinto ebaluleke kakhulu!
- Gcina isisindo esinempilo: Zama ukunciphisa isisindo esiningi njengoba welulekwe udokotela wakho. Ucwaningo olulodwa luthole ukuthi ukunciphisa isisindo sakho esingu-7% kuphela kunganciphisa ingozi yakho yokuthola isifo sikashukela ngo-58%.
- Ukuzivocavoca njalo: Yenza okuthile okufana nokuhamba, ukugijima, noma ukubhukuda okungenani imizuzu engama-30 ngosuku. Lokhu kusiza ekunciphiseni ukumelana ne-insulin, ukugcina inhliziyo yakho iphilile, futhi kusiza ekulawuleni isisindo.
- Ukudla okunempilo kwenhliziyo: Nciphisa ukudla kwakho okunama-carbohydrate amaningi (isinkwa, ilayisi, amaswidi), ukudla okunamafutha, inyama ebomvu, nokudla okucutshungulwe. Esikhundleni salokho, faka imifino, izithelo, ubhontshisi, kanye nenyama engenamafutha njengenhlanzi nenkukhu.
- Lala ngokwanele: Izinkinga ezifana nokungalali kahle kanye nokuhona (`(Sleep apnea)`) zingenza lesi simo sibe sibi kakhulu. Ngakho-ke, kubalulekile ukulala kahle.
- Gwema ukubhema: Ukubhema kunganciphisa i-cholesterol enhle (i-HDL) futhi kwandise umfutho wegazi.
- Ukulawulwa kokucindezeleka: Ukucindezeleka ngokweqile kungabangela ukungalingani kwama-hormone emzimbeni, okuholela ekukhuleni koshukela egazini, umfutho wegazi, kanye namazinga e-cholesterol. Ukucindezeleka kungalawulwa ngemisebenzi efana ne-yoga, ukuzindla, kanye nokuzivocavoca ngokuphefumula.
2. Imithi
Uma lesi simo kunzima ukusilawula ngokushintsha indlela yokuphila kuphela, udokotela wakho angase akunike imithi.
- Imithi ye-cholesterol: Isibonelo, ama-statin.
- Imithi yokucindezeleka kwegazi okuphezulu: Izinhlobo ezahlukene zemithi yokwehlisa umfutho wegazi.
- Imithi yesifo sikashukela:I-Metformin iyisidakamizwa esivame ukusetshenziswa kule njongo.
Konke lokhu kufanele kwenziwe kuphela ngokweseluleko sikadokotela wakho.
Kwenzekani uma i-Metabolic Syndrome inganakwa?
Uma lesi simo singelashwa, izinkinga ezinkulu zingavela ngokuhamba kwesikhathi.
- Isifo senhliziyo
- Isifo sohlangothi
- Isifo sikashukela sohlobo 2
- Ukulimala kwezitho zomzimba ezifana nesibindi nezinso
- Ingozi eyengeziwe yezinhlobo ezithile zomdlavuza
- Izinkinga ngesikhathi sokukhulelwa
Ngakho-ke, kuwukuhlakanipha ukuthatha lokhu njengesixwayiso bese uthatha izinyathelo ezidingekayo ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Metabolic syndrome akuyona isifo esisodwa, kodwa inhlanganisela yezici eziningana eziyingozi.
- Lesi simo sitholakala ngokuba okungenani nezintathu kwezinhlanu: amafutha esiswini, umfutho wegazi ophakeme, ushukela wegazi ophezulu, ama-triglycerides aphezulu, kanye ne-cholesterol enhle ephansi.
- Isizathu esiyinhloko salokhu yisimo esibizwa ngokuthi ukumelana ne-insulin.
- Into engcono kakhulu ukuthi ingaguqulwa. Ukushintsha indlela yokuphila kuyindlela enamandla kakhulu yokwelapha lokhu.
- Kubaluleke kakhulu ukubona udokotela wakho njalo, wenze izivivinyo ezidingekayo, bese ulandela imiyalelo yakhe. Ungakhathazeki, udokotela wakho uzokusiza kulolu hambo.
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